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Organization

GIRISH BANAJI, D.D.S., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GIRISH BANAJI D.D.S. (PRESIDENT/OWNER)
(703) 849-1300
Entity
Organization

Contact information

Practice address
8505 ARLINGTON BLVD STE 370, FAIRFAX, VA 22031-4636
(703) 849-1300
Mailing address
8505 ARLINGTON BLVD STE 370, FAIRFAX, VA 22031-4636

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410311
VA

Other

Enumeration date
11/03/2007
Last updated
11/03/2007
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